Judgment in older adults: Development and psychometric evaluation of the Test of Practical Judgment (TOP-J)

Rabin, Laura A.; Borgos, Marlana J.; Saykin, Andrew J.; Wishart, Heather A.; Crane, Paul K.; Nutter-Upham, Katherine E.; Flashman, Laura A.

doi:10.1080/13825580601025908

Cited by 49 publications

(102 citation statements)

References 57 publications

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“…Study-relevant measures administered on Day 2 included Letter-Number Sequencing (LNS) of the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV; Wechsler, 2008), the Tower Test of the Delis-Kaplan Executive Function System (D-KEFS; Delis, Kaplan, & Kramer, 2001), Test of Practical Judgment (TOP-J; Rabin et al, 2007), and the Memory for Intentions Screening Test-A (MIST-A; Raskin, 2009;Raskin, Buckheit, & Sherrod, 2010). …”

Section: Methodsmentioning

confidence: 99%

Association of psychological, cognitive, and functional variables with self-reported executive functioning in a sample of nondemented community-dwelling older adults

Meltzer

Kapoor

Fogel

et al. 2016

Applied Neuropsychology: Adult

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Subjective executive functioning (EF) measures provide valuable information about real-world difficulties, although it is unclear what variables actually associate with subjective EF scores. We investigated subjective EF in 245 nondemented, community-dwelling older adults (aged 70 and above) from the Einstein Aging Study. Partial correlational analyses controlling for age were performed between the nine Behavior Rating Inventory of Executive Function-Adult version (BRIEF-A) clinical scales and objective EF tests, self-reported mood and personality, and informant-reported activities of daily living. The significance level was set at p < .006 for all analyses (two-tailed). Most notably, higher worry/oversensitivity, physiological anxiety, and fear of aging were significantly associated with increased EF difficulties on all nine BRIEF-A scales. Additionally, increased EF difficulties on five or more BRIEF-A scales were significantly associated with lower conscientiousness, higher neuroticism, and higher depressive symptom scores. The only objective neuropsychological test that significantly correlated with increased EF difficulties (on four BRIEF-A scales) was a measure of practical judgment. Overall, results indicate that interpretation of subjective EF scores must account for self-report of mood and personality. Moreover, the BRIEF-A only minimally taps objective EF as measured by performance-based measures. We discuss the theoretical and practical implications of these findings.

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Section: Methodsmentioning

confidence: 99%

Association of psychological, cognitive, and functional variables with self-reported executive functioning in a sample of nondemented community-dwelling older adults

Meltzer

Kapoor

Fogel

et al. 2016

Applied Neuropsychology: Adult

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“…Judgment is an important aspect of executive functioning that is regularly assessed during neuropsychological evaluations with varied patient populations. For example, loss of judgment ability is a common consequence and diagnostic feature of the dementing process, as executive cognitive functions that permit complex, goal-directed use of existing knowledge progressively fail (Duke & Kaszniak, 2000;Karlawish et al, 2005;Knopman et al, 2001;LaFleche & Albert, 1995;Marson & Harrell, 1999;Rabin et al, 2007). Judgment also may be compromised in individuals with chronic psychiatric illnesses such as schizophrenia, schizoaffective disorder, and bipolar disorder (Bearden, Hoffman, & Cannon, 2001;Rempfer et al, 2003;Semkovska et al, 2004), and these patients may manifest diminished insight into their cognitive and functional deficits (Flashman, 2002).…”

Section: Introductionmentioning

confidence: 99%

“…1 From a neuropsychological perspective, judgment falls under the domain of executive functioning (Woods, Patterson, & Whitehouse, 2000) and includes a cognitive appraisal process (i.e., deciding what to do in a situation) and the behavioral follow-through (i.e., carrying out an effective/safe behavior; Rabin et al, 2007;Thornton et al, 2007). Judgment is an important aspect of executive functioning that is regularly assessed during neuropsychological evaluations with varied patient populations.…”

Section: Introductionmentioning

confidence: 99%

“…Another important use of judgment tests is as an outcome variable in trials of cognitive-enhancing interventions for which improvements in patients' judgment skills are expected, and they must be demonstrated objectively (Lai & Karlawish, 2007 Stern & White, 2003), and (3) the Problem Solving Subscale of the Independent Living Scales (Loeb, 1996). These instruments are all part of larger test batteries (which may limit their use by some neuropsychologists) and some have drawbacks, particularly when utilized with older adults (see Rabin et al, 2007). 2 In addition to specific tests of judgment, practitioners frequently use clinical interviews, subjective rating scales, informant reports, chart review, and cognitive tests that fall under the general domain of executive functioning (e.g., planning and problem-solving tasks) to gather information and make inferences about patients' judgment capacity (Lai & Karlawish, 2007).…”

Section: Introductionmentioning

confidence: 99%

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A Survey of Neuropsychologists' Practices and Perspectives Regarding the Assessment of Judgment Ability

Rabin

Borgos

Saykin

2008

Applied Neuropsychology

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Judgment is an important aspect of cognitive and real-world functioning that is commonly assessed during neuropsychological evaluations. This study utilized a brief, online survey to examine neuropsychologists' practices and perspectives regarding available judgment instruments. Participants (n=290, 17% response rate) were randomly selected members of the International Neuropsychological Society and the National Academy of Neuropsychology. Respondents rankordered the following issues that should be incorporated into assessments of judgment (from most to least important): safety, ability to perform activities of daily living, and problem solving/ decision making about medical, financial, social/ethical, and legal matters. A majority of respondents reported that they "often" or "always" assessed judgment when evaluating patients with traumatic brain injury (89%), dementia (87%), and psychiatric disorders (70%). Surprisingly, the top-ranked instruments were not tests of judgment per se, and included the WAIS-III Comprehension, Wisconsin Card Sorting Test, and WAIS-III Similarities. Further, 61% of respondents were slightly confident, and only 23% were very confident, in their ability to assess a patient's judgment skills with their current tests. The overwhelming majority (87%) of respondents perceived a need for improved measures. Overall results indicate use of varied techniques by neuropsychologists to evaluate judgment and suggest the need for additional tests of this cognitive domain.

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“…Impairments of these cognitive functions have been shown in patients with Alzheimer’s disease [24,25] and are also associated with the ADL decline and mortality in the elderly [26]. Interestingly, living with the communication robot improved these executive and memory functions in elderly women.…”

Section: Discussionmentioning

confidence: 99%

Effect of a human-type communication robot on cognitive function in elderly women living alone

et al. 2012

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SummaryBackgroundConsidering the high prevalence of dementia, it would be of great value to develop effective tools to improve cognitive function. We examined the effects of a human-type communication robot on cognitive function in elderly women living alone.Material/MethodsIn this study, 34 healthy elderly female volunteers living alone were randomized to living with either a communication robot or a control robot at home for 8 weeks. The shape, voice, and motion features of the communication robot resemble those of a 3-year-old boy, while the control robot was not designed to talk or nod. Before living with the robot and 4 and 8 weeks after living with the robot, experiments were conducted to evaluate a variety of cognitive functions as well as saliva cortisol, sleep, and subjective fatigue, motivation, and healing.ResultsThe Mini-Mental State Examination score, judgement, and verbal memory function were improved after living with the communication robot; those functions were not altered with the control robot. In addition, the saliva cortisol level was decreased, nocturnal sleeping hours tended to increase, and difficulty in maintaining sleep tended to decrease with the communication robot, although alterations were not shown with the control. The proportions of the participants in whom effects on attenuation of fatigue, enhancement of motivation, and healing could be recognized were higher in the communication robot group relative to the control group.ConclusionsThis study demonstrates that living with a human-type communication robot may be effective for improving cognitive functions in elderly women living alone.

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Judgment in older adults: Development and psychometric evaluation of the Test of Practical Judgment (TOP-J)

Cited by 49 publications

References 57 publications

Association of psychological, cognitive, and functional variables with self-reported executive functioning in a sample of nondemented community-dwelling older adults

Association of psychological, cognitive, and functional variables with self-reported executive functioning in a sample of nondemented community-dwelling older adults

A Survey of Neuropsychologists' Practices and Perspectives Regarding the Assessment of Judgment Ability

Effect of a human-type communication robot on cognitive function in elderly women living alone

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